An introduction to NHS Resolution’s

Early Notification team

Advise / Resolve / Learn

Who are NHS Resolution?

NHS Resolution are an organisation responsible for managing clinical negligence claims brought against the NHS. Our role includes sharing learning for improvement and preserving resources for patient care.  

What is an Early Notification Scheme investigation?

NHS Trusts are required to inform NHS Resolution of maternity incidents which meet a certain clinical criteria. Clinicians and lawyers work together to proactively investigate circumstances where babies have sustained specific brain injuries at birth to determine if clinical negligence has caused the harm. The scheme provides an early investigation into the care received using legal tests and provides compensation where clinical negligence has occurred. The scheme helps to ensure that steps are taken to learn whilst working collaboratively to improve maternity and neonatal care.

What happens next?

Now that the Maternity and Newborn Safety Investigations (MNSI) investigation is complete, we will ask the Trust where you gave birth to your baby to share a copy of the final report with us. Details of your baby’s MRI report will be checked to decide whether your baby meets the criteria for our Early Notification Scheme. A member of our team will then write to you with the outcome of that review and any next steps. That letter will be sent to your last known address held by the Trust, so please let us know as soon as possible of any changes to your contact details.

You can seek your own independent legal advice should you wish to do so, and we attach a list of organisations at the end of this leaflet that may be able to help you with this, together with a list of other support organisations. More information on how to bring a claim can be found by scanning the ‘advice for claimants’ QR code at the bottom of this leaflet.

If you have any queries, you may contact Elizabeth Pells, Family Liaison and Mediation Lead on or by telephone on 0207 811 6263.

You can access further information about the Early Notification Scheme by scanning the EN Scheme QR code at the bottom of this leaflet.

Support organisations:


A national charity that supports babies born premature or sick and their families. They can offer advice and support via a freephone helpline. Tel: 020 7378 1122.

NHS Improving Access to Psychological Therapy

Free access to psychological therapy on a regional basis through the IAPT service. This can be accessed by the link and services in your area located including self-referral details.

Peeps HIE

Support to families affected by babies born with Hypoxic Ischaemic Encephalopathy (HIE). Tel: 0800 987 5422.


A charity set up to offer support to anyone affected by the death of a baby and to improve the care bereaved parents receive.

The Samaritans

A free 24-hour listening and advice service 365 days a year. They can be contacted from any phone anytime by calling 116 123 from the UK and Republic of Ireland.

Organisations providing independent information, advice and support:

Action against Medical Accidents (AvMA)

AvMA is an independent charity which offers free advice, information and support to people affected by sub-standard healthcare, they can refer you to solicitors who specialise in this work and who are accredited by them. AvMA can advise and support families on HSIB maternity investigations, the Early Notification Scheme and other processes. AvMA’s telephone helpline also provides free advice and is staffed by professional volunteers. The helpline is open between 10am and 3.30pm, Monday to Friday. Tel: 0345 123 23 52.

Law Society

An organisation which can provide details on how to contact a specialist clinical negligence lawyer to obtain independent legal advice.

Citizens Advice Bureau

Free advice by a volunteer who may be able to put you in touch with a legal advisor.